| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
8,161 |
7,784 |
$1.49M |
| 99283 |
|
10,111 |
9,486 |
$1.19M |
| 99285 |
|
2,501 |
2,345 |
$654K |
| A0427 |
Als1-emergency |
2,533 |
2,328 |
$550K |
| 96374 |
|
4,971 |
4,623 |
$490K |
| 87637 |
|
3,066 |
3,007 |
$367K |
| A0425 |
Ground mileage |
5,527 |
4,627 |
$323K |
| G0463 |
Hospital outpt clinic visit |
5,330 |
4,674 |
$311K |
| A0429 |
Bls-emergency |
1,715 |
1,555 |
$259K |
| 74177 |
|
1,336 |
1,296 |
$233K |
| 99282 |
|
3,228 |
3,143 |
$217K |
| 71046 |
|
4,087 |
3,962 |
$157K |
| 96365 |
|
1,503 |
1,194 |
$152K |
| 97530 |
|
4,144 |
1,686 |
$140K |
| 96375 |
|
3,850 |
3,482 |
$125K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,021 |
1,823 |
$123K |
| 92507 |
|
3,030 |
1,176 |
$106K |
| 70450 |
|
1,120 |
1,098 |
$84K |
| A0428 |
Bls |
520 |
481 |
$82K |
| 96360 |
|
636 |
608 |
$59K |
| 99392 |
|
906 |
901 |
$58K |
| 74176 |
|
491 |
481 |
$57K |
| 71045 |
|
1,337 |
1,313 |
$55K |
| 97140 |
|
3,023 |
940 |
$54K |
| 99281 |
|
1,237 |
1,221 |
$52K |
| U0003 |
Cov-19 amp prb hgh thruput |
975 |
942 |
$50K |
| 97110 |
|
2,213 |
869 |
$44K |
| 97112 |
|
1,664 |
718 |
$43K |
| 99391 |
|
632 |
585 |
$40K |
| 80061 |
|
3,449 |
3,427 |
$37K |
| C9803 |
Hopd covid-19 spec collect |
5,399 |
5,150 |
$36K |
| 58661 |
|
12 |
12 |
$36K |
| 96361 |
|
1,260 |
1,178 |
$36K |
| G0480 |
Drug test def 1-7 classes |
2,291 |
2,087 |
$35K |
| 80053 |
|
14,988 |
13,519 |
$33K |
| A0998 |
Ambulance response/treatment |
202 |
181 |
$31K |
| 84443 |
|
4,560 |
4,458 |
$30K |
| 93010 |
|
5,742 |
5,240 |
$27K |
| 41899 |
|
295 |
288 |
$25K |
| 85025 |
|
15,836 |
14,008 |
$24K |
| 99393 |
|
319 |
319 |
$21K |
| 87591 |
|
1,389 |
1,365 |
$20K |
| 87491 |
|
1,384 |
1,361 |
$20K |
| 90471 |
|
1,788 |
1,762 |
$18K |
| 36415 |
|
22,181 |
18,873 |
$18K |
| 90472 |
|
779 |
774 |
$16K |
| 77067 |
|
333 |
330 |
$16K |
| M0243 |
Casirivi and imdevi inj |
57 |
57 |
$15K |
| 82306 |
|
916 |
906 |
$12K |
| 82947 |
|
541 |
383 |
$11K |
| 0002A |
|
293 |
292 |
$10K |
| 87651 |
|
1,120 |
1,100 |
$10K |
| 0001A |
|
282 |
282 |
$9K |
| 93005 |
|
5,054 |
4,635 |
$9K |
| 83036 |
|
1,814 |
1,791 |
$9K |
| 76705 |
|
147 |
147 |
$8K |
| 87801 |
|
349 |
343 |
$8K |
| 87389 |
|
611 |
608 |
$7K |
| 80048 |
|
2,196 |
1,905 |
$7K |
| 87086 |
|
3,146 |
2,991 |
$7K |
| 82728 |
|
911 |
901 |
$6K |
| 87480 |
|
640 |
632 |
$6K |
| 87660 |
|
642 |
634 |
$6K |
| 87510 |
|
615 |
607 |
$5K |
| 82607 |
|
722 |
715 |
$5K |
| 71275 |
|
54 |
51 |
$5K |
| 86803 |
|
634 |
631 |
$4K |
| 87502 |
|
182 |
177 |
$4K |
| 87426 |
|
149 |
145 |
$4K |
| 86900 |
|
258 |
248 |
$3K |
| 96372 |
|
3,295 |
2,967 |
$3K |
| 88305 |
|
914 |
902 |
$3K |
| 87635 |
|
135 |
126 |
$3K |
| 81001 |
|
9,062 |
8,446 |
$3K |
| 85027 |
|
1,046 |
966 |
$3K |
| 87186 |
|
993 |
964 |
$3K |
| 84484 |
|
3,294 |
2,708 |
$3K |
| 84439 |
|
578 |
570 |
$3K |
| 87070 |
|
978 |
938 |
$3K |
| 87481 |
|
106 |
105 |
$2K |
| 73630 |
|
223 |
216 |
$2K |
| G2023 |
Specimen collect covid-19 |
292 |
273 |
$2K |
| 97162 |
|
57 |
57 |
$2K |
| 87634 |
|
109 |
106 |
$2K |
| 83550 |
|
455 |
450 |
$2K |
| 81025 |
|
4,578 |
4,356 |
$2K |
| 83735 |
|
2,357 |
2,073 |
$2K |
| 83540 |
|
535 |
529 |
$2K |
| 96366 |
|
38 |
32 |
$2K |
| 77063 |
|
138 |
138 |
$2K |
| 87088 |
|
593 |
580 |
$2K |
| 83690 |
|
3,857 |
3,518 |
$1K |
| 97164 |
|
55 |
53 |
$1K |
| 87661 |
|
107 |
105 |
$1K |
| 0003A |
|
35 |
35 |
$1K |
| 85610 |
|
1,572 |
1,438 |
$1K |
| 85379 |
|
1,260 |
1,230 |
$962.56 |
| 83605 |
|
1,863 |
1,668 |
$932.43 |
| 99239 |
|
14 |
14 |
$906.69 |
| U0001 |
2019-ncov diagnostic p |
63 |
60 |
$894.83 |
| 99213 |
|
259 |
235 |
$868.67 |
| 90686 |
|
246 |
245 |
$820.41 |
| 86140 |
|
497 |
454 |
$810.73 |
| 84702 |
|
227 |
190 |
$760.14 |
| 73562 |
|
80 |
76 |
$723.80 |
| 93976 |
|
14 |
14 |
$716.17 |
| 90670 |
|
55 |
55 |
$687.00 |
| 87147 |
|
331 |
327 |
$667.93 |
| 76856 |
|
14 |
14 |
$656.04 |
| 73610 |
|
66 |
64 |
$626.58 |
| 76830 |
|
12 |
12 |
$596.40 |
| 76801 |
|
12 |
12 |
$596.40 |
| 99238 |
|
15 |
14 |
$564.94 |
| 90791 |
|
12 |
12 |
$561.05 |
| 97163 |
|
14 |
13 |
$540.07 |
| 72100 |
|
28 |
27 |
$455.35 |
| 90460 |
|
24 |
24 |
$455.00 |
| 82570 |
|
158 |
158 |
$437.50 |
| 73130 |
|
57 |
55 |
$436.32 |
| 85651 |
|
286 |
278 |
$406.41 |
| 74018 |
|
41 |
39 |
$386.64 |
| 82043 |
|
96 |
96 |
$298.62 |
| 83880 |
|
231 |
222 |
$288.21 |
| G0103 |
Psa screening |
24 |
24 |
$265.61 |
| 96161 |
|
45 |
42 |
$254.00 |
| 87804 |
|
125 |
78 |
$217.59 |
| Q3014 |
Telehealth facility fee |
15 |
13 |
$215.10 |
| 87040 |
|
160 |
116 |
$158.78 |
| 73030 |
|
25 |
25 |
$144.76 |
| 94640 |
|
594 |
541 |
$144.30 |
| 84100 |
|
430 |
388 |
$128.73 |
| 82746 |
|
16 |
16 |
$116.21 |
| 85730 |
|
353 |
340 |
$94.11 |
| 86901 |
|
259 |
249 |
$77.19 |
| 86703 |
|
14 |
14 |
$66.38 |
| 99214 |
|
58 |
57 |
$57.05 |
| 81003 |
|
84 |
82 |
$49.76 |
| 87340 |
|
16 |
15 |
$47.95 |
| 86592 |
|
17 |
16 |
$39.32 |
| 86850 |
|
71 |
70 |
$34.83 |
| J2405 |
Ondansetron hcl injection |
4,893 |
4,466 |
$15.00 |
| 84703 |
|
152 |
147 |
$5.74 |
| J2270 |
Morphine sulfate injection |
386 |
352 |
$0.00 |
| J7030 |
Normal saline solution infus |
922 |
818 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
844 |
749 |
$0.00 |
| 72125 |
|
12 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
77 |
74 |
$0.00 |
| J7120 |
Ringers lactate infusion |
204 |
186 |
$0.00 |
| J2550 |
Promethazine hcl injection |
194 |
160 |
$0.00 |
| 76376 |
|
1,344 |
1,311 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
37 |
32 |
$0.00 |
| P9604 |
One-way allow prorated trip |
109 |
77 |
$0.00 |
| 87880 |
|
27 |
26 |
$0.00 |
| J0780 |
Prochlorperazine injection |
42 |
40 |
$0.00 |
| 91300 |
|
306 |
283 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
12 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
57 |
54 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 82948 |
|
17 |
13 |
$0.00 |
| 73110 |
|
13 |
12 |
$0.00 |
| 88302 |
|
24 |
24 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
14 |
14 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,156 |
2,100 |
$0.00 |
| J1170 |
Hydromorphone injection |
748 |
624 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
589 |
540 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
349 |
328 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
472 |
428 |
$0.00 |
| J2360 |
Orphenadrine injection |
179 |
168 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,961 |
1,911 |
$0.00 |
| J7050 |
Normal saline solution infus |
143 |
117 |
$0.00 |
| J2060 |
Lorazepam injection |
62 |
50 |
$0.00 |
| G0378 |
Hospital observation per hr |
39 |
24 |
$0.00 |
| 96110 |
|
64 |
60 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
435 |
424 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
4,906 |
4,546 |
$0.00 |
| 96376 |
|
294 |
264 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
84 |
82 |
$0.00 |
| 12001 |
|
12 |
12 |
$0.00 |
| 0241U |
|
221 |
214 |
$0.00 |
| J0500 |
Dicyclomine injection |
29 |
28 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |
| J1630 |
Haloperidol injection |
14 |
14 |
$0.00 |